학술논문
The longitudinal relation between loneliness and perceived stress: A structural equation modelling analysis of 10,159 individuals.
Document Type
Academic Journal
Author
Laustsen LM; DEFACTUM - Public Health and Health Service Research, Central Denmark Region, Denmark.; Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Denmark.; Christiansen J; DEFACTUM - Public Health and Health Service Research, Central Denmark Region, Denmark.; Department of Psychology, University of Southern Denmark, Denmark.; Maindal HT; Department of Public Health, Aarhus University, Denmark.; Health Promotion, Steno Diabetes Center Copenhagen, Denmark.; Plana-Ripoll O; Department of Clinical Epidemiology, Aarhus University and Aarhus University Hospital, Denmark.; National Centre for Register-based Research, Aarhus University, Denmark.; Lasgaard M; DEFACTUM - Public Health and Health Service Research, Central Denmark Region, Denmark.
Source
Publisher: Sage Publications Country of Publication: Sweden NLM ID: 100883503 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-1905 (Electronic) Linking ISSN: 14034948 NLM ISO Abbreviation: Scand J Public Health Subsets: MEDLINE
Subject
Language
English
Abstract
Aims: Prolonged loneliness and severe stress are increasingly recognised as public health concerns and considered risk factors for mental disorders, somatic illnesses and mortality. Loneliness and perceived stress also often co-occur; however, their longitudinal relation remains unclear. To the best of our knowledge, this is the first study aiming to investigate the longitudinal relation between loneliness and perceived stress independently of cross-sectional associations and time effects.
Methods: Designed as a population-based cohort study with repeated measurements, the present study included individuals aged 16-80 years at baseline who participated in the Danish National Health Survey ('How are you?') in 2013 and 2017 ( N = 10,159; response rate = 50%). Structural equation modelling was used to examine associations between loneliness and perceived stress in the total sample and across age groups (i.e., 16-29, 30-64 and 65-80 years).
Results: The models indicated bidirectional relations between loneliness and perceived stress. The standardized cross-lagged path from loneliness to perceived stress (β: 0.12, 95% confidence interval (CI) (0.08, 0.16), p < 0.001) and from perceived stress to loneliness (β: 0.12, 95% CI (0.07, 0.16), p < 0.001) both corresponded to small effect sizes in the total sample. Additionally, the results indicated strong cross-sectional associations, especially among adolescents and young adults (16-29 years), and high temporal stability, especially among the elderly (65-80 years).
Conclusions: Loneliness and perceived stress mutually predict each other over time. The finding of both substantial bidirectional and cross-sectional associations demonstrates an interdependence between loneliness and perceived stress that may be relevant to consider in future interventions.
Competing Interests: Conflict of interestThe authors declared no potential conflicts of interest with respect to the research, authorship and publication of this article.
Methods: Designed as a population-based cohort study with repeated measurements, the present study included individuals aged 16-80 years at baseline who participated in the Danish National Health Survey ('How are you?') in 2013 and 2017 ( N = 10,159; response rate = 50%). Structural equation modelling was used to examine associations between loneliness and perceived stress in the total sample and across age groups (i.e., 16-29, 30-64 and 65-80 years).
Results: The models indicated bidirectional relations between loneliness and perceived stress. The standardized cross-lagged path from loneliness to perceived stress (β: 0.12, 95% confidence interval (CI) (0.08, 0.16), p < 0.001) and from perceived stress to loneliness (β: 0.12, 95% CI (0.07, 0.16), p < 0.001) both corresponded to small effect sizes in the total sample. Additionally, the results indicated strong cross-sectional associations, especially among adolescents and young adults (16-29 years), and high temporal stability, especially among the elderly (65-80 years).
Conclusions: Loneliness and perceived stress mutually predict each other over time. The finding of both substantial bidirectional and cross-sectional associations demonstrates an interdependence between loneliness and perceived stress that may be relevant to consider in future interventions.
Competing Interests: Conflict of interestThe authors declared no potential conflicts of interest with respect to the research, authorship and publication of this article.